Henricksen-Holdings Columbus LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HENRICKSEN-HOLDINGS COLUMBUS LLC

Doing business as

Lifetime Dental Health

Practice address

1960 Bethel Rd Ste 240
Columbus, OH 43220-1815

Phone

(614) 333-9442

NPI assigned

Jun 30, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Walker

Title

Agent

Phone

(801) 550-6421

Specialties & licenses 2

Addresses

Other names 1

• Lifetime Dental Health Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1730866773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 BETHEL RD STE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201815",
            "telephone_number": "614-333-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 BETHEL RD STE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432201815",
            "telephone_number": "614-333-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRICKSEN-HOLDINGS COLUMBUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "801-550-6421"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Dental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Henning
• Jennifer E. Henning, FNP
• Kimberly Hennings
• Rachelle Hennip
• Jonathan Clement Henricks
• Ashley Henriques, DPT
• Rena Michelle Henriques, M.D.
• Jamir Henriquez
• Melissa Anne Henry Sweet, CNP
• Regina Henry-Morris

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.